Peri Kumiko Tresslar, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95028824 Issued in CA

Practice address

6719 Alvarado Rd Ste 303
San Diego, CA 92120-5264

Phone

(619) 500-7699

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Peri Kumiko Knobbe Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ptresslar83478@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balboa Nephrology Medical Group, Inc.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1316997505

  Nurse Practitioner

  Medicare reassignment NPD
• Sasha Salloum MD Inc a Professional Medical Corporation

  dba SS Vascular

  • Vascular Surgery Physician
  • Chula Vista, CA
  • NPI 1578949889
  Medicare reassignment NPD
• Balboa Nephrology Medical Group,Inc.

  dba San Diego Access and Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1598276404
  NPD
• Vascular Associates of San Diego

  • Vascular Surgery Physician
  • La Mesa, CA
  • NPI 1104975713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1548021512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 ELSA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205264",
            "telephone_number": "619-500-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESSLAR",
        "first_name": "PERI",
        "middle_name": "KUMIKO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95172020",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERI",
            "last_name": "KNOBBE",
            "middle_name": "KUMIKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Trent, PA
• Robert Joseph Trentacosta, DO
• Paul Trentalange, D.C.
• Suzanne Trepanier, AMFT
• Lindsay Janilyn Treppa, DDS
• Kristen Treulich, BCBA
• Julie Ann Treuner, PA
• Tais Trevelin Lowry, DMD
• Sarah Trevena
• Benjamin Jason Trevias, M.D.

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.